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Organization
EDUCARE COMMUNITY LIVING CORP - NORTH CAROLINA
Active
Organization
EDUCARE COMMUNITY LIVING CORP - NORTH CAROLINA
Active
Other names
EC Ral Forest Creek
Organization subpart
No
Provider details
NPI number
Authorized official
DENISHA CONNOR (MGR PROVIDER ENROLLMENT)
(502) 630-7421
Entity
Organization
Contact information
Practice address
5117 FOREST CREEK RD, RALEIGH, NC 27606-9419
(919) 467-2857
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406477
—
NC
Enumeration date
03/29/2007
Last updated
05/06/2026
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